| NPI | 1659333144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JACQUELINE MOISES Sole Proprietor 718-740-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 151357) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |